<div class="round-corner white">
	<div style="margin:30px">
	
	<div id= "send_form">
	<form class="form-horizontal"  action="/index.php/upload/submit_diary" method="post" >
        <fieldset>
          <legend>Your Sweet Diary:</legend>
          
          <div class="control-group">
            <label class="control-label" for="title">Title:</label>
            <div class="controls">
              <input type="text" name="title"  class="input-xlarge" id="title">
            </div>
          </div>
          
           <div class="control-group">
             <label class="control-label" for="content">Content:</label>
             <div class="controls">
              <textarea class="input-xlarge" style="margin:0" id="content" name="content" rows="5"></textarea>
           		</div>
           </div>
           
		  <input type="hidden" id="co_long" name="long"/>
		  <input type="hidden" id="co_lat" name="lat"/>
		  
          <div class="form-actions">
            <input type="submit" class="btn btn-primary" value="Submit"></input>
            <input type="button" class="btn" onclick="javascrpt:close_reg_form()" value="Cancel"></input>
          </div>
        </fieldset>
      </form>
    </div>
    </div>
</div>